Certified Community Behavioral Health Clinics (CCBHC)

What is a CCBHC?

The purpose of a CCBHC is to:

• Help people improve their health by making it easier to get into treatment
• Keep people from going into the hospital when they don’t need hospital care
• Build better relationships between hospitals and community health care providers
• Pay community providers working in underserved areas more money through enhanced Medicaid payments
• Blend mental health, substance use disorder, and physical health treatment services

These clinics must directly provide or contract with Designated Collaborating Organizations (DCOs) to provide nine types of required services:

1. Crisis mental health services including 24-hour mobile crisis teams, emergency crisis intervention, and crisis stabilization**
2. Screening, assessment, and diagnosis including risk assessment*
3. Patient-Centered treatment planning or similar processes, including risk assessment and crisis planning*
4. Outpatient mental health and substance use services*
5. Outpatient clinic primary care screening and monitoring of key health indicators and health risk**
6. Targeted case management**
7. Psychiatric rehabilitation services**
8. Peer support, counselor services, and family support services**
9. Intensive community-based mental health care for members of the armed forces & veterans**

*CCBHC must directly provide
**May be provided by CCBHC and/or DCO

CCBHC demonstration services must be provided to all individuals regardless of their service area and/or ability to pay, both within and outside of the clinic setting.

Commissioners’ Regulatory Waiver for NYS-approved CCBHCs participating in the Demonstration.

Updated Guidance:

CCBHC Provider Manual

SAMHSA CCBHC Certification Criteria

CCBHC Quality Data Reporting

CCBHC Year 8 Medicaid Rate Methodology

Additional information about the demonstration:

CCBHC Billing Guidance

• CCBHC Allowable CPT Code List

• CCBHC Billing FAQs

• CCBHC Crossover Claims Guidance

CCBHC Demonstration Timeline

CCBHC Data Sharing with Managed Care Organizations (MCOs) (pending update)

CCBHC MCO Operations Manual (pending update)

CCBHC Prospective Payment System (PPS) (pending update)

Certified Community Behavioral Health Clinics | SAMHSA

Further questions may be submitted to the NYS Office of Mental Health CCBHC Mailbox.